数脉主“阴不胜阳”探析

Exploration of "Rapid Pulse Dominating Failure of Yin to Control Yang"

以往医家认为数脉可主热证、寒证、痰饮、虚证,这种认识虽然能够用于解释临床中的一些病证和古书中的许多条文,但是却背离了数脉形成的机理,为临床带来了困惑。当临床中出现数脉时,无法判断它是主寒证还是热证,主痰饮还是虚证,因此,笔者认为这种扩大数脉主病以迎合古书条文和临床的方法是不合理的。数脉主"阴不胜阳",其意义有以下五点:一为实热证;二为虚热证;三为虚阳外越,阴不能制之;四为寒热交争的过程;五为阴邪攻伐人体阳气,却还未完全克制人体阳气的状态。

Previously, doctors hold that rapid pulse dominates heat syndrome, cold syndrome, phlegm retention and deficiency syndrome. This theory can explain some diseases and symploms and many articles in ancient books, but it goes against the forma- live mechanism of rapid pulse, thus bringing confusion in clinical practice. When rapid pulse appears in clinic, it＇s hard to de- termine whether it dominates cohl syndrome, heat syndrome, phlegm retention or deficiency syndrome. Therefore, the author be- lieves that it is unreasonable to expand the dominant diseases of rapid pulse to cater the articles in ancient books and clinical practice. The significance of rapid pulse dominating failure of yin to control yang includes the following 5 aspects： 1. Excess heat syndrome ; 2. Deficient heat syndrome ; 3. Deficient yang going outside and yin failing to control it; 4. The process of the strugg- ling between cold and heat; 5. Yin pathogen attaeking yang qi of the body but it hasn＇t completely eontroled yang.